| NPI | 1548885627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 20-119611) |
| Enumeration Date | 2020-06-14 |
| Last Update Date | 2022-07-05 |